HomeMy WebLinkAboutX2021-0277 - PermitsH,'uf
City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
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Combination Type - MFP PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0277
x 2 0 2 1 9 2 7 7 Project No:
Issued Date : 0210812021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/09/2024 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday 7:00 a.m.
to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address:
126 40TH ST NB
Description:
MFR **STOP WORK** REPAIR STUCCO UNDER FRONT WINDOW, REPLACE GAS LINE TO BBQ
Legal Desc.:
RIVER SECTION BILK 39 LOT 14
Owner:
BRICE MIN Contractor:
P B CONTRACTING Architect:
INSPECTOR
Address:
20104 CHIANTI CT Address:
1996 FULLERTOAN�AVE
Phone:
YORBA LINDA, CA 9288fi
Phone:
COSTA � (� �+TAddddrles1s::'�-y� r�yh y
9 9-6 011408 ESA C ICJ LJ VONJ TPIRA,)C 91r, N
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NOIJEState Lic:
Applicant:
P B CONTRACTING
Address:
1996 FULLERTON AVE
COSTA MESA CA 92627
Phone:
949-650-1408
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R3IU
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $500.00
Building Permit Fee: $110.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$110.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $230.90
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
831793
Lic Expire:
02/2812022
Bus Lic:
BT30031698
Lic Exp Date:
04130/2021
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: I
king Spa
Engineer:
Address:
ON RAfURDAYS'a 6tatAS:BUILT PERMIT
Designer: Address: EXPOSE ALL STRUCTURAL,
Phone: ELECTRICAL, PLIITMING, AND
Special Conditions: aFECHANICAL COMPONENTS
OK TO ISSUE W/O
PLANS PER DEA
)20 •OZW3
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee:
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication:
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
$0.00
San Dist :
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$9.90
$0.00
Plan Check Fee
: $230.90
Fee Due at Permit Issuance :
$0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: ��/�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
im roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensors under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
sell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applica "IS i 4 of t Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:ltwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent e
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70, Division 3 of the Bus' nd Profes ion and my license is in full force
and effect. License Class License No Dot r 73.% Contractor nature
NORKERS' COMPENSATION DECLARATION I I �—
PARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TONE HU O DURAND DOLLARS I$100,0001, IN ADDITION TO THE
LJJ-Or COMPENSA'-ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm undcr penalty of perjury one of the following declarations:
.11 hPve and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
rerformance of the Aut k for which this permit is issued. Policy No.
11 hT,:,e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
Psarance carrier Bra policy number are:
a•re� Policy Number Expiration Dale
rf 4gent Phone #
I eerily that, i,I th6 pb no of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wor IS' compensation laws of California, and agre
st, iC h ul b Eorp�su Be he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions q ,
Signature of �II nit ate��/�
JECLA N EGAR CO TRUCTION LENDING AGENCY
hereby affirm nder pe rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section qO97, Civil Code).
-ender's Nam Lenders Address
3y my signatu certify to each of the followin
I am the property Owner or authorized to act o e prope owner's behalf.
I have read this application and the Info Iq a e pr vided is correct.
I agree to comply with all applicable oil and unty or as and state laws relating to building construction.
I authorize representatives of this city or coun er the above -identified property for inspection purposes. & /
Signature of Property Owner or Authorized fit Print Property Owner's or Authorized Agent's N ��✓Z"Its =`Y
ACTION DATE Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTI CATION TO
PERMIT CANCELLED EA
PERMIT EXTENDED CIM
PERMITFINAL s-17— 1 >R BEST SNO I ONIS TAPPLICABLE TO
CERTIFICATE OF P O S EMO 1
OCCUPANCY ISSUED SIGNATD Ef 1